NPI | 1104319854 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM WALTON CEO Regional Director 678-788-3328 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-17-26263) |
Enumeration Date | 2018-06-07 |
Last Update Date | 2020-06-29 |